Field Trip Report Form                         II.J.2.   Rev.4/01

 

Part I.  To be completed before trip is taken.

1.	Date of trip___________
2.	Place to be visited________________________________________________
3.	Purpose of trip__________________________________________________
4.	Course number or sponsoring organization______________________________
5.	Anticipated attendance                   # of Students_________# of Faculty________ # of Visitors_______
6.	Is out of state travel involved?                                     Yes_______ No_______
7.	Will a state-owned vehicle be required?                      Yes_______ No_______
8.	Will there be any reimbursements requested?              Yes_______ No_______

 

If the answers to Questions 6, 7, and 8 are yes, additional authorization is required

15 days before the trip is to be taken.

 

Approvals:

Supervising Faculty Member__________________________       Date___________

Department Chairman________________________________      Date___________

 

After all approvals in Part I have been obtained, this form is to be returned to the

Supervising Faculty Member.

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Part II.  To be competed after trip is taken.

 

1.  Actual attendance on field trip:

                             # of Students________# of Faculty_______ # of Visitors_______

 

Supervising Faculty Member____________________________   Date____________

 

Submit completed form along with an attached list of students who actually participated to the Travel Office.